Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,114.64 / $2,114.64 / $3,256.54	Facility		$2,114.64	$2,114.64	$3,256.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,609.27 / $2,114.64 / $2,114.64	Professional		$1,609.27	$2,114.64	$2,114.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $66.50	Professional		$40.00	$40.00	$66.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,609.27 / $2,114.64 / $4,000.00	Facility		$1,609.27	$2,114.64	$4,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,609.27 / $2,250,000.00 / $2,400,000.00	Professional		$1,609.27	$2,250,000.00	$2,400,000.00